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<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>무제 문서</title>
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<table width="1000" border="1">
  <tr>
    <td colspan="4"> ■ 기본정보</td>
  </tr>
  <tr>
    <td width="126">도매브랜드명</td>
    <td colspan="3">한글명<input type="text" name="brand_name"  /> 영문명 : </td>
  </tr>
  <tr>
    <td>도매카테고리</td>
    <td colspan="3">&nbsp;</td>
  </tr>
  <tr>
    <td colspan="4">■ 상점이미지</td>
  </tr>
  <tr>
    <td><p>상점대표이미지<br />
      (총 5개 등록가능)
    </p></td>
    <td colspan="3">추가 <input type="file" name=""  /> 대표이미지 : </td>
  </tr>
  <tr>
    <td colspan="4">■ 사업자정보</td>
  </tr>
  <tr>
    <td>상호(회사명)</td>
    <td width="356"><input type="text" name="brand_name"  /></td>
    <td width="142">대표자명</td>
    <td width="348"><input type="text" name="brand_name"  /></td>
  </tr>
  <tr>
    <td>사업자등록번호</td>
    <td><input name="brand_name" type="text"  width="100"/></td>
    <td>연락처</td>
    <td><input name="brand_name" type="text"  width="100"/>-<input name="brand_name" type="text"  width="100"/>-<input name="brand_name" type="text"  width="100"/></td>
  </tr>
  <tr>
    <td>이메일</td>
    <td><input name="brand_name" type="text"  width="100"/>
      @<input name="brand_name" type="text"  width="100"/>
      <select name="email_input" >
      <option value="naver.com"> naver.com</option>
      <option value="nate.com"> nate.com</option>
      <option value="daum.net"> daum.net</option>
      <option value="korea.com"> korea.com</option>                  
      </select></td>
    <td>핸드폰</td>
    <td><input name="brand_name" type="text"  width="100"/>-<input name="brand_name" type="text"  width="100"/>-<input name="brand_name" type="text"  width="100"/></td>
  </tr>
  <tr>
    <td>사업장주소</td>
    <td colspan="3"><input name="brand_name" type="text"  width="100"/>-<input name="brand_name" type="text"  width="100"/><input type="button" value="우편번호" /><br />
    <input name="brand_name" type="text"  width="400"/>
    </td>
  </tr>
  <tr>
    <td colspan="4"><input type="button" value="수정하기" /></td>
  </tr>
</table>
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